Acute Rheumatic Pancreatitis

A 32 year old obese male was admitted with acute abdomen in the emergency room. He was supported with intravenous fluids and the blood chemistry revealed elevated amylase and lipase levels raised ESR and a positive ASO titer test. CT abdomen suggested interstitial edematous pancreatitis (IEP) and no fluid collection. Patient was treated with IV cefotaxime and metronidaziole and his condition remarkably improved with therapy and blood parameters returned normal at the end of 4 weeks and follow up CT revealed no abnormal findings and symptom free thereafter.